Doctor's Orders

Spirit of Ancestor Tree
Location Arx
Suggested Level 13-20
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Doctor's Orders is a Quest in Divinity: Original Sin II. The powerful demon, Adramahlikh, is actually Doctor Daeva. Will you be able to stop him?



Important NPCs



Doctor's Orders Objectives

  1. Learn the name of The Doctor from the Spirit of Ancestor Tree.
  2. Head to Arx.
  3. Snuff out the candles to weaken The Doctor (optional).
  4. Defeat the Doctor.



Doctor's Orders Walkthrough

The name of the demon can be learned from the ancestor tree spirit at Bloodmoon island. If you speak with Jahan, he will tell you that the good doctor is the demon and is currently hiding in Arx.

Investigate the wedding site in Arx, which is also related to the quest, "The Secrets of the Dwarves", and you will learn that the doctor was the one who sent the explosive wedding cake to the dwarves with the intent to kill at least someone named Isbeil, based on the note left behind. Outside the schoolhouse in Arx, a distressed citizen may tell you that the doctor thanks you for serving him back at Bloodmoon island, if you helped the Advocate.

There are now 2 ways to progress this quest in Arx. Either you can kill Isbeil in the quest, "The Secrets of the Dwarves", or you can kill Lord Kemm in the quest, "The Vault of Linder Kemm". Of course, it is highly recommended to do both quests for maximum XP gain, but once you have killed one of them, an Elven messenger will appear, clapping and bidding your party to visit Doctor Daeva at his house. You will earn 19,400XP and your journal will update.

You can find the Doctor at the 'Black House' in the northeast. Malady will be waiting there, so speak to her and she will teleport you to the Demon's Dimension. As you walk with Malady, she will bring you to candles containing the souls Adramahlikh will consume in the future. It is very important here NOT to snuff out the candles, if you are looking to earn maximum XP rewards for this quest. If you have Lohse in your party, she will snuff out the candles no matter what option you pick. If Lohse isn't in your party, you can choose whether or not you want to snuff out the candles. If you do not want to snuff out the candles and Lohse is in your party, simply leave the Demon's Dimension once you enter. Don't forget to pick up the magic locked chest and the trapped runes slightly to the north first though! After snuffing (or not snuffing) all of the candles, Malady will transport you out of the dimension.

Now, there are a couple of notes here to keep in mind. First, Lohse (and only Lohse) will gain 19,400XP each time she decides to snuff out the candles, for the first two candle encounters (the final candle encounter at the very end will not give her any XP). Second, the Doctor will only end up weaker in his human form if you snuffed out the final thousands of candles at the end; the first two candle encounters don't matter. Finally, you are highly encouraged to use the barrel alternative route to enter the Black House, listed below, rather than proceeding through the front door - this is because if you proceed through the front door and kill the Doctor, you will not earn XP at certain points since the quest will be automatically complete once the Doctor is dead. There is no real difference, other than the Doctor expressing surprise you entered via the back gate, between entering through the front door and taking the alternate route.

The alternative route to entering the Black House is to use this particular marked barrel to sneak into the doctor's dungeon, as shown in the picture below. If you read notes in the Fish Works area back in Driftwood and/or talked to the people there, you will learn that the Black House buys Void-tainted fish periodically from messengers, using a signal to tell them it's ready. If you picked up the "Voidwoken Fish Exchange" scroll from Basatan's corpse back on Bloodmoon Island, you can first place a teleporter pyramid inside the barrel, then use the scroll and cast it on the barrel to transport its contents inside the house. Teleporting to the pyramid will thus teleport you deep inside the house's cellar. If you continue onwards, you can find Jahan there, captured as a prisoner. Speaking to him will net you 19,400XP; you will not receive this XP if you already killed the Doctor (and thus completed the quest) before speaking to him.

Carry on forwards and head upstairs. You will earn 53,900 Exploration XP. Lockpick the doors and then speak to the Doctor through this back route. He will express surprise, and if Lohse is in your party, this will gain you the ability to speak with him as Lohse. He will offer you a contract, but you will always refuse the contract as Lohse. Once the conversation is over, your party will gain 19,400XP and combat will begin. If you do not have Lohse in your party, then you can choose to sign a contract with the doctor, listed below.

You can also head inside the Black House through the front door. If you have Lohse in your party, you need to have her interact with the door before it will open. Enter the Black House and you will immediately gain the 53,900 Exploration XP if you have not already. Head inside and speak to the Doctor. If you have Lohse in your party (dismissing her will only result in the Doctor refusing to speak to you), there will be no option for the Doctor to offer you a contract for some reason. Because of this, you will forfeit the 19,400XP that you would otherwise gain if you entered via the alternate route; hence if you have Lohse in your party, it is better to enter via the alternate route. Otherwise, if Lohse was never in your party, you can choose to sign a contract with the doctor, which will change the ending as listed below. If you choose not to sign the contract, he will attack you.

  • After defeating Braccus Rex in Lucian's Crypt, the doctor will appear (killing Lucian and Dallis if they are still alive) and ask you to honor the contract. If you agree to honor the contract, you will have to kill your teammates. In the ending, the Doctor and you will manage to drive out the God-King, thus ruling the world as gods. If you refuse, the doctor will kill your main character, and you will have to defeat him with your team mates.

In any case, if you choose to fight the Doctor, he is a weak opponent in his human form, so as long as you go first, preferably with high Wits, you can finish him off instantly before he transforms. The Doctor now has a scripted 10,000 Initiative value that is not possible to go ahead of. However, depending on whether you snuffed out the thousands of candles at the end with Malady, he will either be weakened, or not. Also, if you do not kill him on the first turn, he will transform into his true form, the demon Adramahlikh. Regardless of whether you snuffed out the candles or not, Adramahlikh will always have around 11k health, nearly 18k physical armor, and 21k magical armor. Below is a comparison of his weakened and non-weakened forms:

  • If you snuffed out the thousands of candles previously, he will end up weakened. He will have only 3.6k hit points (at least on Classic difficulty) and -30% in all elemental resistances. When transformed, he will not be able to channel Demonic Possession, and will not summon any Nemesis monsters.
  • If you didn't snuff out the final thousands of candles, he will not be weakened. He will have around 7k hit points and 20% in all elemental resistances. When transformed, he will summon 4 Nemesis monsters, and be able to channel Demonic Possession, which will permanently enslave Lohse after a few turns.

Needless to say, if you wanted to take advantage of weakening him by snuffing out his candles, you will have to kill him before he transforms. As such, if you cannot finish him off before his turn, then make sure to disable him with some sort of status like stun or frozen. It also bears mentioning that throwing a deathfog crate on him will not affect him or his nurses. When killed, the Doctor and his 6 nurses (sometimes, the nurse at the counter may be too far away to engage you in combat) will grant 149,850XP each, resulting in a whopping grand total of 1,048,950XP. Killing the Doctor will also complete this quest, awarding you an additional 134,750XP.

However, it is important to note that for maximum XP gains, you actually want the Doctor to transform into Adramahlikh, and you absolutely do not want to snuff any of the candles to weaken him. As an unweakened Adramahlikh, he will summon 4 Nemesis monsters to aid him, and each Nemesis monster will award 149,850XP when killed. Because of the huge number of enemies and their tendency to crowd near Adrahamhlikh for some reason, a Thunderstorm spell is extremely effective in this regard; it will constantly stun and damage the vast number of enemies every turn, making the fight easy and giving you tons of free XP. If you can use the Apotheosis spell, the fight becomes even easier as you will be able to use powerful Area-of-Effect spells like Pyroclastic Eruption and Meteor Storm without worrying about source. If not, spells like Superconductor and, to a lesser extent, Supernova, will do their job just fine. 

If you have Lohse in your party, though, things get a little more complicated because if you take too long to kill Adramahlikh, Adramahlikh will use demonic possession to take control of Lohse and she will be permanently enslaved, leaving your party forever. The obvious solution to this is to kill Adramahlikh quickly but this may not always be possible due to his high armor values and perseverance skill. Also, running away, teleporting away, or teleporting to a waypoint all will not work, as the demonic effect is scripted to take control of her wherever she may be. Thus, the simplest solution to prevent Lohse from becoming possessed is to make sure she is dead; once she is dead, Adramahlikh will immediately stop channeling his Demonic Possession spell. This can actually be used to great effect, since Adramahlikh wastes his turn each time by channelling the demonic possession spell. After he tries to channel it for a turn or so, simply kill off Lohse and his spell will be reset, rendering him unable to take control of Lohse. Then, during one of your other members' turn, cast resurrection on Lohse to revive her. The next time it's Adramahlikh's turn, he will try to channel his spell again, effectively wasting each of his turn. Of course, you can simply not bother with cheesing him and just concentrate on slaughtering them all without the help of Lohse - either way, it's not a terribly difficult fight, especially with Area-of-Effect spells. Alternatively, you may lure out the nurses out starting with the nurse closest to the door of the mansion using teleport then engaging in combat, after which you should engage in conversation with the Doctor while finishing off the rest. At this time you can teleport the doctor, while still in conversation onto the bench in the main hall just outside his office. This will render him knocked out but while still in conversation mode. You can then proceed to teleport him safely without the fear of him transforming far away from the mansion to an isolated location that doesn't allow for him to move. He will not teleport back. Engage in combat with the Doctor without the added worry of him charming Lohse and using his skill of invincibility. The quest will finish as normal. 

Killing Adramahlikh in his demonic true form will net you a crazy 299,700XP, as opposed to a measly 149,850XP which you will get if you kill his pathetic human form. Thus, killing Adramahlikh, his 6 nurses, and 4 Nemesis monsters will net you an insane grand total of 1,798,200 XP. Killing Adramahlikh also completes the quest, netting you an additional 134,750XP, so the total end result will be an absurd 1,932,950 XP.

Once the Doctor is dead, speaking to Lohse at this point will cause her to rejoice at finally being free, and you can listen to her sing a special song. You can also cast Spirit Vision and talk to the spirits of the nurses, learning that they used to be people who hunted down the Doctor but failed and were subjugated to become his minions.

Enter his cellar if you haven't already and you will find two of his poor prisoners. One of them will be Jahan, captured because he underestimated the Doctor. As mentioned before, if you speak to him at this point after killing the Doctor and completing this quest, you will receive no XP whatsoever. Still, whatever the case may be, you can unlock the magically locked cabinets in the lower chamber area here and loot various unique items such as the Lord Ruaney and Kvyn's armor sets. Loot the area and leave.

Shortly after leaving, an Elven Apparition will appear, thanking you and claiming to be the spirit of Eleanessa, the ancestor tree back in Bloodmoon Island. She will reward you with a ghostly mace and a choice of Divine-quality loot.

As a final word, if you look at Adramahlikh in his demon form, he actually looks like a female for some reason, despite talking like a male.





  • 19,400XP after the Elven messenger appears and invites you to visit the Doctor.
  • 19,400XP for Lohse only, per candle encounter, for the first two candle encounters (optional).
  • 19,400XP for speaking to Jahan before completing the quest.
  • 53,900XP Exploration XP for entering the Black House.
  • 19,400XP if the Doctor offers the contract.
  • 149,850XP for killing the Doctor (human form) OR 299,700XP for killing Adramahlikh (demon form).
  • 149,850XP for killing each of the Nemesis monsters, for a total of 599,400XP.
  • 149,850XP for killing each of the nurses, for a total of 899,100XP.
  • 134,750XP upon completion of the quest.
  • A choice of Divine-quality loot upon talking with the Spirit of Eleanessa, shortly after leaving the Black House on quest completion.

    • Anonymous

      25 Mar 2019 10:41  

      Just 1HKO the Doctor on Tactician with a Solo Ranger. My Markman's Fang attack did 11000 damage, killing him at full power instantly. I went up from the basement, pre-buffed at the door and covered the floor with blood then initiated dialog.

      • 17 Mar 2019 23:43  

        I equipped "The Staring" helmet on Lohse, which gives immunity to terrified and charmed. I initiated battle by attacking the front desk nurse, which aggroed all the enemies in the house. While they moved towards the front desk to engage me, I prepped the floor with oil and ice to slow progression. I was able to engage them in smaller groups and used AOEs when they congregated in the middle hallway on the way to the front desk. Meanwhile, Adramahlikh spent the entire fight trying to possess Lohse, which kept failing due to her charmed immunity.

        • Anonymous

          13 Mar 2019 16:20  

          If you're wanting to loot both display cases in the basement (after killing Adramahlikh), cast Blood Rain one of them, open the case, loot the items, clear the blood (Tornado is OP for this), then quicksave and reload to reset the second display case. Cast Blood Rain on the second display case, open it, and loot it. One thing I've noticed that's very important is to NOT CLOSE THE DISPLAY CASES. If you close them after looting them, the items that were inside cannot be equipped or right-clicked on, making them completely useless. The game seems to think they're in the case when you do that. Also, if you close the display cases and drop the items on the floor, you won't be able to pick them up again. In this way, you can equip all five artifacts from the chests.

          • Anonymous

            12 Mar 2019 02:18  

            Jahan wasn't in the prison and Malady never showed up either. I was playing with Ifan and Sebile so maybe that makes a difference. Anyway, completed this by the barrel jump into the basement where I collected exploration xp, looted and found only one dwarf prisoner with his tongue cut out. Then when back up and entered through the front door. I completed the quest by killing the first 4 nurses in the front and right side of the house. This didn't trigger a fight with the Dr. so I mover closer teleported the nurse in his office away and this triggered the fight. I quickly killed her and tactical retreated away and just ran for the front door and the doctor didn't follow. with my teleport recharged, I was able to grab him and teleport him to the middle of the house where Sebile was able to teleport him again to the front door. we started the fight here and teleported him outside and then once or twice more in the fight. All the remaining minions followed him outside but since they didn't all make it out of the house at once I was able to get two of there magic armors down and charmed them with mind magots. From here it was easy since Sebile and Ifan just concentrated on the Demon form of the Dr and the nemisis fought mostly among themselves. Once we finished the Dr, we just picked off what was left.

            • Anonymous

              01 Mar 2019 10:28  

              In the definitive edition, with the new patch I guess, we aren't given a choice. Malady will refuse to talk to you without Lohse. And Lohse will always choose to snuff out the candles.

              • Anonymous

                27 Feb 2019 23:08  

                Malady never appeared for me either and honestly I tried this battle a dozen times before I finally Pwned the Doc. The difference for me was starting by killing the nurses at the front of the mansion first, like 3-4. The back nurses and the Doc. didn't respond to this. When I went to confront the Dr., I refused his offer and he kicked me out of the house. I used the fish spell on the barrel out to the East of his house and got in the basement. I got back into his house and then unlocked the door and kept my crew back. My summoner summoned her incarnate and gave him his boosters and then he went in and attacked the doc. The doc immediately turns into the demon and battle starts in earnest. His goons appear and honestly this is where things get crazy. I ended up beating them by the use of my mage freezing the goons and repeatedly teleporting the demon out of combat. If he stays in combat, you are toast. I was able to do this enough that I eliminated the other nurses and the goons and finally tag teamed on the Demon. It took about 1.5 hours, but was worth it! So fun.

                • Anonymous

                  16 Feb 2019 00:34  

                  Malady never appeared, thus no candles. No Jahan, at all. Jahan didn't die anywhere else and Milady is alive and well on my ship. Really not sure what happened but, the Doctor fight was a large and wild affair. 10 or so combatants made it fun.

                  • Anonymous

                    23 Jan 2019 21:36  

                    Easy way ... I am using an IMPERATOR helmet on Lohse - lvl 16 bad stats ... but best of it is "Imunity to charmed" SO every turn is Adramahlikh using his Demonic possession - but nothing happens to Lohse. Best :)

                    • 21 Jan 2019 02:33  

                      My main char is Louse and thus the doc immediately turned into the monster form which can basically incinerate the whole group in 1 turn. apparently the 2nd try was super freakin easy. step 1. i had the red prince fighter equipped with the shield from the god king tomb (perma death wish) and shied throw. I reduced its health to near death (like +96% damage) and with 3000+ dmg i killed all the house members except for the doc and maybe the 1 next to it. since its 1 hit kill you don't trigger a fight. step 2. took RP and Battlemage Fane aside and approached the doc with archer louse (can summon bone spider) and rough Sibile (exchange force). while they are chatting, I cast LivingOnEdge on both and moved back to sneak (easy cause I killed all the outside minions) Battle start and the demon burn the***** out of Lause and sib. Sibile is down to about 1 HP. Surprise attack: RP enters the combat from sneak with shield bash (~2.9-3k dmg) and Fane (shield bash/ Infect ~0.9k dmg) Louse is next with 2 max damage arrows+spider (2 hits) had about 4*400dmg . that leaves Sib to take out the rest of the armor, exchange life (6000+ turned to ~1) and spank a killing blow. (she got 7m walk, free walk and +3AP from skills). The fool didn't even have time to react, demon my ass. Fane and RP (in their turn phase) made a cake out of the last minion.

                      • Anonymous

                        12 Jan 2019 11:02  

                        Human form now have same health and armor as demon but still possible to kill him without transforming. While u have Lohse in group he is refusing to talk to anyone else but neutral and possible to attack so there is no scripted initiative bonus yet. Got him before transformation with 2 lone-wolf rogues on tactician difficulty

                        • Anonymous

                          30 Dec 2018 23:26  

                          Easy way to beat the doctor (Cheese): 1.kill his nurses 2. stack their corpses on him 3. use mass corpse explosion 4. profit (he'll be down to 1-2k health, no physical armour and 2 of his 4 nemesis demons are dead most likely

                          • Anonymous

                            26 Dec 2018 15:33  

                            I probably sold the fish scroll along time ago. Before the doctor banished me out, I put a pyramid in one character and I drank a medium invisibility potion and unlocked all the doors and put myself in the spot at the basement as if I used the scroll. I then used the pyramid to get all the other characters into the same spot. I thought I was possibly losing xp so I tried to find the exchange scroll. To keep it short. You don't receive XP if you have the scroll and use pyramid as intended with the barrel.

                            • Anonymous

                              20 Dec 2018 01:34  

                              I find this fight hard with Lohse in my team and no anti charm on her. Also i didnt weak him on the last candles. Finally bait him using Lohse. Killing her and resurrecting her. He loose his turns trying to charm her.

                              • Anonymous

                                21 Nov 2018 22:06  

                                The doctor throw me out .. door wont leave me back in. Glead violating around at that door triggered a fight with the elf at the entrance desk, so i coud get back in :)

                                • Anonymous

                                  17 Nov 2018 20:10  

                                  This is how I manage to turn this fight into a just the doctor by himself. You need two teleporters (you can use teleport scrolls if you want). First you get one character to teleport him out of his room and into the hallway (this initiates a conversation with that character). While they are talking, use another character to keep teleporting the doctor until he is out of his house and onto the bridge. Now he's all by himself and you can initiate the fight there.

                                  • Anonymous

                                    19 Oct 2018 01:55  

                                    I fought the nurses first by running back outside and fighting them in front of the house. they follow then die. then go back in, use rain in rooms to kill candles. send one player to confront doctor. start fight then use tactical retreat and or teleport to get team out of house and defeat nemesis there. the doctor stays inside. make sure louse is wearing the helmet which makes her immune to charm or kill her and revive later.

                                    • 08 Oct 2018 17:01  

                                      Anyone know how to get Angel and demon trophy? I've talked to the doctor and made a pact to share divinity with him. At the end boss, i beat braccus rex and the doctor didn't appereared. Not sure what went wrong. From what i read, he is supposed to appear after braccus die .

                                      • Anonymous

                                        08 Oct 2018 15:55  

                                        If you gas Arx first then kill the doctor, the elven apparition will be dead and you can't complete the quest.

                                        • Anonymous

                                          30 Sep 2018 21:45  

                                          How can I get into the black house again and kill the doctor after I was driven away at the first time. I dont have the void fish scroll.

                                          • Anonymous

                                            16 Sep 2018 04:15  

                                            The nemesis devourer ambush in Arx can help you quite a bit with exp, if you can deal with them. At level 20, each kill gives you about 150k. The thing is, wiping out a team of ambush early on will result in no more ambushes. For example, after killing all four nemesis during the ambush near the closed school, I was not ambushed near the lizard consulate nor at Kemm's backyard. I don't know if killing three nemesis and letting one escape will keep bringing ambush later on. If that was the case, then letting just one nemesis escape at each ambush (except the last one of course) will give you the maximum exp opportunity.

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